Echenique Medical Office Pc

LBN: Echenique Medical Office Pc
Echenique Medical Office Pc is an health care organization with primary practice located at 41-15 162Nd Street , Flushing NY 11358-4124. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Agencies / Community/Behavioral Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Echenique Medical Office Pc can be contacted via phone (718) 762-6640, or through Echenique, Evelio via phone (718) 762-6640.

Contact Information

Primary practice address
41-15 162Nd Street Flushing NY 11358-4124
Phone: (718) 762-6640
Fax: (718) 762-6635
Website:
Map and Directions
Authorized official contact:
Name: Echenique, Evelio Doctor of Medicine (MD)
Phone: (718) 762-6640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 212182 New York
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1942532791
LBN Legal business name Echenique Medical Office Pc
DBA Doing business as
Authorized official Echenique, Evelio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2010
Last updated Apr 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942532791 NPPES
New York Other 05095 MEDICARE ID#
New York MEDICAID 02457472 MEDICARE ID#

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